Tracheal resection and anastomosis: an 11 year management outcome
RMJ-Rawal Medical Journal. 2013; 38 (2): 177-180
em Inglês
| IMEMR
| ID: emr-140241
ABSTRACT
To evaluate the etiology, perioperative management and outcome of surgery in cases of tracheal stenosis. This was a retrospective analysis of patients with tracheal stenosis who underwent resection with anastomosis from January 2000 until December 2010. Ten patients, aged between 15 to 53 years old [mean of 34.4 years] were included. Post intubation injury was the major cause of tracheal stenosis [n=8], followed by external laryngeal trauma [n=2]. Using the Cotton-Myer classification, 60% of patients had Grade III stenosis whilst 40% had Grade IV stenosis. Intravenous corticosteroids were given 24 hours before extubation. Four patients were well post- operatively without complications. The most common complication in the other patients was granulation tissue in the anastomosis region [n=3], vocal cord paresis [n=2] and one restenosis [n=1]. Four of these patients underwent examination under anesthesia with removal of granulation tissue and/or laser dilatation. However, 2 cases needed Shian Lee operation and required T-tube until present. The success rate for tracheal resection and anastomosis is taken as the number of patients successfully decannulated, which was 80%. Tracheal resection with end-to-end anatomosis was a successful procedure for cervical tracheal stenosis, with low mortality and few complications related to it
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Traqueia
/
Estenose Traqueal
/
Anastomose Cirúrgica
/
Estudos Retrospectivos
/
Resultado do Tratamento
/
Gerenciamento Clínico
/
Assistência Perioperatória
/
Intubação Intratraqueal
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rawal Med. J.
Ano de publicação:
2013
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